McCluskey Primary Care LLC
Organization Active NPI Primary Care Nurse Practitioner · Leesburg, AL
NPI 1982447231 · NPPES record last updated Aug 26, 2025
Key facts
- NPI
- 1982447231
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- Legal business name
- MCCLUSKEY PRIMARY CARE LLC
- Practice address
- 215 Industrial Blvd
Leesburg, AL 35983-3742 - Phone
- (256) 526-3331
- Fax
- (256) 526-3330
- NPI assigned
- Jun 14, 2024
- Organization subpart
- No
Authorized official
- Name
- Kimberly Ann McCluskey-Jones, CRNP
- Title
- Owner/CRNP
- Phone
- (256) 526-3331
Practitioners 1
-
Kimberly Ann McCluskey-Jones, MSN,FNP-BC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2312861 | McCluskey Primary Care LLC | Certificate of waiver | Oct 20, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250313002101 | AL | Part B Supplier - Clinic/Group Practice | 9133641640 |
Receives reassigned benefits from 1 practitioner Practice locations: Leesburg, AL |
National Provider Directory
Locations
750 Cherokee Plz
Centre, AL 35960
215 Industrial Blvd
Leesburg, AL 35983
Phone (256) 526-3331
215 Industrial Blvd
Ste C
Leesburg, AL 35983
Phone (256) 526-3331
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Urgent Care Clinic/Center | 261QU0200X | |||
| Family Nurse Practitioner |
363LF0000X | |||
| Primary Care Nurse Practitioner |
363LP2300X | Yes |
Addresses
Primary practice location
215 Industrial Blvd
Leesburg, AL 35983-3742
Mailing address
215 Industrial Blvd Ste C
Leesburg, AL 35983-3742
Phone (256) 526-3331
Other names
- Mccluskey Primary Care
Other providers in Leesburg, AL
- Healthstat Onsite Clinic Parkdale Leesburg Al
- Healthstat Onsite Clinic Parkdale Plant 43
- Maggie Hester
- Cierra Jennings
- Yoyen Lau
- Kimberly Ann McCluskey-Jones
- Premise Health of Alabama Medical PC
- Jared Sinclair
- St Clair Pharmacy LLC
- Kristin Stimpson
All providers in Leesburg, AL · Primary Care Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.